440 IEEE SENSORS JOURNAL, VOL. 7, NO. 3, MARCH 2007 On-Chip Capacitance Sensing for Cell Monitoring Applications Somashekar Bangalore Prakash, Student Member, IEEE, and Pamela Abshire, Member, IEEE Abstract—We describe an integrated circuit for sensing the substrate coupling capacitance of anchorage-dependent living cells in a standard culture environment. Capacitance is measured using charge redistribution in response to weak, low frequency electric field excitations. The underlying biophysical phenomenon results primarily from the insulating nature of the cell structure and the counterionic polarization in the surrounding aqueous medium. The measured capacitance depends on a variety of factors related to the cell, its growth environment and the supporting substrate. These include membrane integrity, morphology, extracellular ionic concentration, adhesion strength, and substrate proximity. The measured capacitance is an indication of both the interaction between cells and substrate and cell health. The capacitance sensor uses the principle of charge sharing and translates sensed capacitance values to output voltages. The sensor chip has been fabricated in a commercially available 0.5- m, 2-poly 3-metal CMOS technology. The sensing technique does not require direct electrical connection to the aqueous culture medium. We report results from experiments demonstrating on-chip tracking of cell adhesion as well as long term monitoring of cell viability in vitro. Index Terms—Bioelectric phenomena, biological cells, biomedical transducers, capacitance measurement, capacitance transducers, CMOS integrated circuits, dielectric measurements, dielectric polarization, mixed analog-digital integrated circuits. I. INTRODUCTION I NTEGRATED cell sensing using microelectronic biosensors has the potential to enable a variety of applications in bioengineering, medicine, homeland security, and environmental sciences [1]–[4]. Miniaturized electronic biosensing techniques have many advantages to offer in comparison to traditional biochemical detection approaches. First, it is possible for complex measurements to be minimally disruptive in that the responses of living cells can be monitored in real time without altering the biochemical composition of the extracellular environment. This prevents unnecessary modification of the in vitro cellular environment which can interfere with the analysis procedure and produce unintended side effects. In addition, microfabrication technologies can readily produce sensing interfaces with physical dimensions matched to the living samples under study, including single cells or even subcellular Manuscript received March 14, 2006; revised May 15, 2006; accepted August 3, 2006. This work was supported in part by the National Science Foundation under Awards 0238061 and 0515873 and by the Laboratory for Physical Sciences. The associate editor coordinating the review of this paper and approving it for publication was Dr. Jenny Gun. The authors are with the Integrated Biomorphic Information Systems Laboratory, Institute for Systems Research and Department of Electrical and Computer Engineering, University of Maryland, College Park, MD 20742 USA (e-mail: sombp@isr.umd.edu; pabshire@isr.umd.edu). Digital Object Identifier 10.1109/JSEN.2006.889213 structures [5]. This enables novel measurement methodologies with capability for exquisite sensitivity and spatial resolution. Electronic biosensing also offers the flexibility of probing living samples over time scales varying over many orders of magnitude and tailored to the specific application. Further, lab-on-a-chip microsystems may provide versatile solutions to complex biosensing problems by automating the sensing and analysis procedures. Such automated, integrated systems offer the potential to reduce infrastructure and cost requirements and, ultimately, to make such sophisticated measurements possible outside the confines of a cell biology laboratory. The electrical properties of biological cells and tissues have a strong correlation with their morphological and physiological states [6], [7]. For example, the existence of the membrane potential is a feature that can be used to distinguish between living and nonliving cells. In special cell types such as neurons and muscle cells, the time-varying electrical potential across the cell membrane reflects changes in the cellular environment and serves as a mechanism for both intra- and inter-cellular communication. Impedance measurements can be used to sense cell morphology and motion [8], to monitor cell adhesion and growth [9], to measure transepithelial and transendothelial electrical resistances of cultured cell monolayers [10], and also to differentiate between normal and abnormal cell types [11]. We have developed a CMOS biosensor for characterizing cell adhesion and monitoring cell viability by sensing the capacitive coupling between a sensing electrode and the cellular matrix. The sensing electrode for the biosensor is electrically and biochemically isolated from the cell environment. The technique does not require direct electrical connection between the cell culture medium and a reference electrode. The sensor operation also does not rely on any specialized 3-D arrangement of electrodes. The electrodes are arranged in a planar configuration within the substrate of the growth chamber and are insulated from the growth medium. The underlying biophysical phenomenon is that, on exposure to low frequency, low strength electric fields, living cells in growth medium behave as insulating structures surrounded by ionic clouds compensating fixed charges present in their membranes [12]. An electric field polarizes the counterionic cloud, giving rise to electric dipoles which are the dominant factor responsible for the low frequency capacitive behavior of cells. Healthy cells with well formed plasma membranes sustain stronger electric dipoles than dead or unhealthy cells with compromised membrane structures, so the measured capacitance is higher for healthy cells. In addition, healthy cells adhere more tightly to a surface in comparison with dead or unhealthy cells, which results in stronger capacitive coupling between the cells and underlying electrodes. Both of these properties can be exploited to monitor the health of cells and also their interaction with substrates. 1530-437X/$25.00 © 2007 IEEE PRAKASH AND ABSHIRE: ON-CHIP CAPACITANCE SENSING FOR CELL MONITORING APPLICATIONS Integrated capacitance sensing offers additional advantages in comparison to other cell sensing modalities such as optical detection [13], fluorescence sensing [14], and frequency-based measurements [15]. These include reduced system complexity, elimination of off-chip optics, no postfabrication requirements, and prevention of electrochemical side-effects which are prominent in electrode-based sensors with sensing surfaces exposed directly to the cell medium. On-chip capacitance sensing in combination with dielectrophoretic actuation has already been employed for cell detection and manipulation. Romani et al. developed a CMOS lab-on-a-chip incorporating a capacitance sensor array and dielectrophoretic cages for localization of bioparticles, wherein the sensors detect variations in the dielectric permittivity due to the presence of bioparticles in between the on-chip electrodes and an external conducting lid [16]. We have pursued an alternate approach employing a CMOS capacitance sensor for sensing variations in capacitive coupling between the sensing electrode and the cell-medium-substrate interface, as a means for characterizing cell adhesion and monitoring cell viability [17], [18]. The remainder of this paper is organized as follows. Section II reviews the biological basis for cell adhesion and viability characteristics and the traditional methods that are used to quantify them. Section III gives an overview of the interactions between cells and substrates, and discusses the biophysical phenomena underlying the sensing mechanism reported here. Section IV describes the capacitance sensor design along with the modeling and calibration of capacitance measurements. Section V presents results from experiments performed in vitro with living cells cultured directly on the chip surface. Section VI summarizes this paper. II. CELL ADHESION AND VIABILITY Interaction with a substrate plays a crucial role in the lifecycle of a majority of cell types. This is because most cells are anchorage dependent, that is, they need to be attached to a solid surface before they can grow and proliferate. The mechanisms by which living cells adhere to substrates and their subsequent viability have been extensively studied in cell biology. In addition to its physiological significance, understanding cell adhesion has many practical applications in the fields of medicine, bioengineering, and environmental sciences. For example, the formation of biofilms (complex aggregations of microorganisms on solid surfaces) is important in a variety of applications in food and water quality assessment and treatment [19]. Studying and enhancing cell adhesion to body implants is extremely important for improving biocompatibility, reliability, lubrication, and self-regeneration of the adjacent tissues [20]. A. Characterizing Cell Adhesion Living cells exhibit a variety of modes of attachment to substrates [21]. Cell adhesion is a complex process that results from interplay between many molecular and macromolecular forces including receptor mediated forces, membrane elasticity, and different kinds of interfacial forces including electrostatic, undulation, van der Waals interaction, and hydration forces [22]. The diversity of mechanisms underlying cell adhesion ultimately enables cells to adapt to different kinds of surfaces and living conditions. The factors influencing the interactions 441 between cells and their substrates can be characterized by quantifying cell adhesion. In this direction, previous efforts employed techniques like centrifugation and shear flow measurements [23], wherein cells cultured on a substrate are subjected to centrifugal and flow forces, respectively. The adhesion strength is related to the fraction of cells that become detached from the surface during mechanical manipulation. Such macroscopic measurements on entire cell populations provides limited information regarding individual cell behavior and the statistical variations among cells, and are inherently disruptive of the cell-substrate coupling. Bowen et al. used atomic force microscopy to measure the adhesive force of a yeast cell by immobilizing it at the end of a cantilevered beam and making force-distance measurements for cell retraction from the surface [24]. Barbee et al. developed a thickness shear mode piezoelectric sensor for continuous measurement of interfacial processes between endothelial cells and gold electrodes [25]. Fan et al. studied the adhesion and viability of central neural cells on silicon wafers with different surface roughness conditions using scanning electron microscopy [26]. B. Assessing Cell Viability Quantification of cell viability has become an essential requirement for cell-based studies. Viability sensors may be useful for optimization of cell culture conditions and also for a variety of commercial applications such as drug screening and biocompatibility characterization of implants. Cell viability can be measured either directly by counting the number of healthy cells in a sample or indirectly by measuring an indicator of cell health and proliferation. Most existing methods for estimation of cell viability can be classified into two categories. The first class is based on quantifying the metabolic activity of cells [27], [28]. This is accomplished by incubating cells along with an indicator dye or a tetrazolium salt that is reduced to a colored compound only by metabolically active cells. Color development is a function of the number of metabolically active cells, and gives a measure of cell viability. Quantification is normally accomplished using spectrophotometry. The other class of cell viability methods probe the cell membrane integrity using dye-exclusion techniques [28]. This approach takes advantage of the fact that healthy cells with well formed plasma membranes exclude dyes such as trypan blue, whereas dead and unhealthy cells with compromised membranes allow dyes to stain internal cellular components. Microscopic analysis is required in order to count only healthy cells and reject unhealthy cells in the sample. C. Proposed Approach All the approaches mentioned before for characterizing cell adhesion and monitoring cell viability employ specialized techniques and processes. In addition, most of them require sophisticated laboratory equipment. Almost all of these cell viability methods involve an inherent process of sampling which may not be feasible for samples with extremely small volumes. The purpose of this work is to develop an integrated sensor that can be designed and fabricated using conventional CMOS technology, for inexpensive, portable, and reproducible characterization of cell adhesion and viability properties, without the need for extensive laboratory infrastructure. The integrated sensing 442 IEEE SENSORS JOURNAL, VOL. 7, NO. 3, MARCH 2007 Fig. 1. Cellular counterionic polarization in the presence of external electric fields. approach offers the unique advantage of long term continuous cell monitoring in a standard in vitro environment without the need for disruptive external forces or biochemical agents. III. BIOPHYSICS OF CELL-SUBSTRATE CAPACITANCE In the presence of low frequency, low strength electric field excitations, living cells behave as insulating structures embedded in an electrically conductive growth medium which is an aqueous ionic solution. Cell surfaces generally carry a surface charge density, which can be positive or negative depending upon the cell type [12]. The majority of cell surfaces are negatively charged. This induces a counterionic cloud around the cells in the surrounding medium. When exposed to an external electric field these counterions are displaced tangentially around the cell surface giving rise to an induced dipole moment as illustrated in Fig. 1. Both the insulating nature of cells at low excitation frequencies and the counterionic polarization are responsible for the capacitive behavior of cells. A. Correlating Capacitance With Cell-Substrate Interaction Next, we examine the behavior of a cell suspension when it comes into contact with a solid biocompatible substrate. Upon contact with a solid substrate, proteins in the growth medium spontaneously adsorb onto the substrate. The interaction between cells and substrate begins with the sedimentation phase when the suspended cells gradually drift downwards and settle on the surface. This is followed by the adhesion phase when cells anchor themselves to the surface through various mechanisms at both molecular and cellular levels [22]. This is accompanied by a significant change in cell morphology wherein the cells exhibit a spreading behavior. Under favorable conditions, there is a proliferation phase during which cells divide and proliferate. In the presence of weak, low frequency electric fields, all three phases can be modeled as a process of cell dielectric layer formation as shown in Fig. 2. The capacitance arising from this dielectric layer successively increases in the phases described previously. The capacitance between cells and substrate is lowest in the sedimentation phase since the cells are far from the surface and the cellular dielectric layer is not yet completely formed. During the adhesion phase there is a remarkable decrease in the dielectric layer thickness due to cell spreading and anchoring mechanisms. In addition, the effective dielectric constant of the cell layer increases due to increasing cell membrane surface area and increasing cell dipole density. Both factors contribute to a steady increase in the cell dielectric layer capacitance. Once the cells have adhered to the surface and adjusted to the culture conditions, the proliferation phase begins and the measured capacitance reflects ongoing cellular activity. In cases of adverse conditions, the Fig. 2. Cell dielectric layer formation in the presence of weak, low-frequency electric fields: sedimentation phase (top, middle), adhesion, and proliferation phases (bottom) [18]. growth phases described previously may be superseded by a cell death phase during which the plasma membranes begin to disintegrate, causing a reduction in capacitance of the cell dielectric layer. IV. CELL-SUBSTRATE CAPACITANCE SENSING Integrated capacitance sensors have been employed for a variety of applications including fingerprint sensing [29], position sensing [30], interconnect characterization [31], humidity sensing [32], and particle detection [33]. We report an adaptation of this technique for tracking cell adhesion and monitoring viability. A. Sensor Design and Operation A custom CMOS capacitance sensor for cell sensing has been designed using the topology shown in Fig. 3 [18], [34]. The sensor operation is based upon the charge sharing principle. The and sensor circuit has two nodal parasitic capacitances whose charging and discharging are controlled by a set of three MOSFET switches M1, M2, and M3. The sensor operates in two phases. In the reset phase, switches M1 and M3 are turned and node N2 to , while M2 is on, charging node N1 to off. In the evaluation phase, M2 is turned on, while M1 and M3 and . The are off, redistributing the charges between joint nodal voltage is a function of the sensed capacitance as a result of the charge redistribution (1) Referring back to Fig. 3, the topmost metal layer, metal3, forms the sensing electrode. Sensitivity of the measurement is maximized by minimizing the nodal parasitics. For this purpose, the fringe capacitances between the sensing electrode and the substrate are shielded by means of a larger area metal2 plate in the lower layer. The large capacitance between the sensing electrode and the shield is canceled by driving the metal2 shield with a potential that tracks the sensing electrode potential using a unity-gain buffer. Sensor dynamic range improves with increasing sensing electrode area. PRAKASH AND ABSHIRE: ON-CHIP CAPACITANCE SENSING FOR CELL MONITORING APPLICATIONS Fig. 3. Cell-substrate capacitance sensor: design and operation [18]. Fig. 4. (Left) photomicrograph of the fabricated sensors. (Right) photograph of the biocompatibly packaged sensor chip [18]. The circuit has been designed for a supply voltage of 3 V and has been fabricated in a commercially available 0.5- m CMOS technology with three metal layers. Three groups of sensors with electrode areas of 20 20 m , 30 30 m and 40 m have been designed and tested. Fig. 4 shows a 40 photomicrograph of the fabricated sensors. The sensor chip has been used to characterize coupling capacitance between cells and substrate at a reset frequency of 1 kHz, as described in further detail in Section V. B. Model of the Sensed Capacitance Several factors influence the capacitance measured at the sensing electrode by the circuit. These factors include the following. : The passivation 1) Passivation Layer Capacitance layer of the fabrication process electrically isolates the sensing electrode from the cell environment. For a passivation layer with uniform thickness of 1 m and a dielectric constant of 6, the capacitance per unit area is approximately 0.05 fF/ m . This capacitance could be increased, and overall sensitivity enhanced, by thinning the passivation layer over the electrodes. However, this would require custom process development, 443 raising significant practical issues as well as associated cost, and would limit the generality of the technique. The chip was fabricated in a commercially available CMOS technology, so the sensor design was constrained by the limitations imposed by the process technology. : The passivation layer (a 2) Interfacial Capacitance solid surface) is in direct contact with the cell growth medium (an aqueous ionic solution), resulting in a layered polarized interface according to Gouy–Chapman–Stern theory [35]. The adhesion process of cells introduces additional solid-liquid interfaces. All these phase separations give rise to interfacial capacitances on the order of 100 fF/ m , 3–4 orders of magnitude larger than the passivation layer capacitance. : As discussed in Section II, 3) Cell Layer Capacitance after sedimentation the cells form a complex dielectric layer at the growth medium-passivation layer interface. Ionic conductances are neglected in the model since the cell environment is exposed to weak electric fields with no current flow. Thus, the cell layer is regarded as purely capacitive. In reality, the cells form a heterogeneous layer which exhibits both spatial and temporal variation of dielectric properties. Assuming that the dielectric constant of the insulating cell layer depicted in Fig. 2 is [36] and that the equal to that of the plasma membrane thickness of the cell layer is 5–10 m, the cell layer capacitance is on the order of magnitude of 0.01 fF/ m , comparable with that of the passivation layer. : The electric field originating 4) Fringe Capacitance from the sensing electrode can be resolved into vertical and lateral components. The vertical component dominates at the electrode center while the lateral component dominates at the electrode periphery. The lateral coupling gives rise to fringe capacitances. The fringe capacitance includes all parasitic capacitances arising from the lateral coupling of the sensing electrode with the neighboring metal lines, passivation layer, cells, and growth medium. The fringe capacitances are on the order of 10 aF/ m, and therefore, their effect cannot be ignored. : The baseline capacitance 5) Baseline Capacitance represents the capacitance due to dielectric properties of residual materials on top of the passivation layer. These include surface residues resulting from the polymer used for encapsulation of the bond wires and from adsorption of materials from the growth medium onto the surface. Experimentally, the initial capacitance sensed by a 40 40 m sensor was found to vary between sub-femtofarad values to approximately 10 fF (for a 30 30 m sensor, between sub-femtofarad values to 20 m sensor, between approximately 2 fF, and for a 20 sub-femtofarad values to approximately 1 fF). We attribute these variations in initial sensed capacitances to different at the start of different experiments. is values of sensitive to a variety of factors including surface residues on the passivation layer, pH of the growth medium, microscopic air bubbles, and hydrodynamic disturbances. From the previous discussion, the capacitance as seen by the sensing electrode equates to the effective capacitance offered by the network of passivation layer, cell layer, fringe parasitics, and all interfacial capacitances between various liquid-solid boundaries. The sensed capacitance must be modeled separately for the preadhesion and the post-adhesion phases, since during the 444 IEEE SENSORS JOURNAL, VOL. 7, NO. 3, MARCH 2007 capacitance, and effectively limiting the sensed capacitance to the passivation layer capacitance. Considering the relative orders of magnitude of the various capacitances, the effective value of preadhesion sensed capacitance can be modeled as (2) The cells do not influence the cell-substrate capacitance until they have settled on the substrate below the ionic screen, and are exposed to the varying electric fields. This happens during the adhesion phase when the cellular dielectric layer begins to form on the surface of the passivation layer. The interface between the ionic screen and the solid surface becomes permeated with cellular dipoles enhancing its dielectric constant. The efwith , as illustrated in fect is modeled by replacing is also influenced by the cells Fig. 5(b). During this process present in neighboring regions. This effect is incorporated into with . The adhesion and post-adthe model by replacing hesion phase sensed capacitance can be modeled as (3) Fig. 5. Models of sensed capacitance during the different phases of the interaction process between cells and substrate. (a) Preadhesion phase model. (b) Adhesion and post-adhesion phase model. adhesion phase the interface between the growth medium and the substrate undergoes a drastic change in its structural and dielectric properties resulting in an appreciable variation in the sensed capacitance. Both models of sensed capacitance are illustrated in Fig. 5. During the preadhesion phase of Fig. 5(a), the growth medium produces an ionic screen in response to the electric field originating from the sensing electrode. The ionic screen at the boundary between the growth medium and the substrate shields the interior of the solution including the suspended cells. The sensed capacitance network comprises the passivation layer and interfacial capacitances in series with capacitance . The fringe capacitance the baseline capacitance appears in parallel with [see Fig. 5(a)]. The reference potential for the fringe capacitance originates from adjacent metal interconnects resting at dc potentials. The reference potential for the capacitances associated with vertical electric field coupling originates from the growth medium, although there is no need for direct electrical connection between the growth medium and the circuit. Under equilibrium conditions the bulk of the growth medium is electrically neutral and is free of potential gradients. Introduction of a ground electrode in the growth medium has been observed to shield out the sensed capacitance network and saturate the sensors. The grounded medium behaves as an ionic conductor in contact with the passivation layer, screening most components of the vertical It is important to note that , , , and represent lumped parameter values of their corresponding capacitances which are actually distributed in nature due to their heterogenous and time-varying characteristics. As mentioned preis a function of many viously, the cell layer capacitance factors influencing its structural and dielectric properties [6], [7], [37]. These include membrane integrity, membrane potential, cell morphology, adhesion strength, extra-cellular ionic distributions, and also number and surface area coverage of cells above the sensing electrode. C. Sensed Capacitance Computation The transducer was calibrated as a proximity detector by using an external metal electrode whose vertical positioning was controlled by means of a piezoelectric micropositioner. Based upon bench test results the nodal parasitic capacitances and were estimated using least squares fits to be 20 and 18 fF, respectively [17]. In order to translate the sensor outputs to sensed capacitance values, the output voltages during the evaluation phase are subtracted from their corresponding voltages during the reset phase for offset cancellation. In some cases, this results in negative values of sensed capacitances due to small voltage fluctuations. The inverse relation for as a function of this voltage difference can be derived from (1) as (4) where and and . Here, both refer to the voltages before the readout buffer. V. SENSOR RESPONSE TO LIVING CELLS For the purpose of in vitro testing, the sensor chip in a 40-pin DIP ceramic package was encapsulated using a biocompatible polymer for bond wire insulation and isolation of cells from PRAKASH AND ABSHIRE: ON-CHIP CAPACITANCE SENSING FOR CELL MONITORING APPLICATIONS 445 toxic materials of the chip package. The encapsulation material is a low water absorbing photopatternable polymer [38]. A well was formed on top of the chip surface for containing the cell culture. Fig. 4 shows a photograph of the final assembly. All experiments were conducted with fresh unused chips possessing clean surfaces without any additional surface modification or functionalization. The capacitance measurements were performed without grounding the culture medium. A. Tracking Cell Adhesion In this experiment, the sensor chip was tested with bovine aortic smooth muscle cells (BAOSMC). These cells were cultured in a commercially prepared medium supplemented with serum, growth factors, and antibiotics (Cell Applications Inc.). A data acquisition system was set up for online monitoring of the sensor responses to BAOSMC loaded on top of the chip surface and placed inside an incubator. The sensor chip was rinsed with deionized water, sterilized using ultraviolet radiation and then rinsed with BAOSMC growth medium, before cells were loaded into the culture well. BAOSMC loading and incubation were performed using standard aseptic techniques. The test fixture containing the sensor chip was maintained at 37 C, 5% CO inside an incubator during the monitoring period. The sensor readings were recorded every 5 min with the cells exposed to electric field excitations only during the short recording intervals. Fig. 6 shows the sensed capacitances as recorded concurrently by six 40 40 m sensors during the first 8 h of cell incubation. The capacitance plots clearly illustrate the sedimentation and adhesion phases as discussed in Section III. The cells took around 2.0–4.75 h to sediment and around 30 min to 1.5 h to adhere (sedimentation: 3.29 1.05 h, adhesion: 1.08 0.34 h). The figure also shows phase delays in the initiation of cell adhesion as recorded by sensors in different locations. Identical experiments were conducted with breast cancer cells (MDA-MB-231) which demonstrate similar sensor responses to cell adhesion. B. Monitoring Cell Viability In this experiment, the sensor responses were continuously acquired every 5 min for a period of 29 h with BAOSMC incubated on top of the chip surface. For validation purposes, cell viability was confirmed using Alamar blue (obtained in aqueous form from Biosource International), a cell viability dye. Alamar blue is commercially available in an oxidized, blue, nonfluorescent form (resazurin), which becomes gradually reduced to its pink fluorescent form (resorufin) in a medium containing viable cells [28]. The dye molecules are reduced by a class of enzymes called reductases found in mitochondrial membranes and the cytosol [39]. Reduction of Alamar blue is directly correlated with the number of viable cells, incubation time, and temperature. The resazurin reduction test has increasingly been used in cytotoxicity assays for high-throughput screening in pharmacological applications [40] because it is nontoxic and nonterminal, that is, it does not require that the cells in the sample be killed in order to make the measurement. BAOSMC loading and incubation were performed as in the previous experiment, with Alamar blue mixed into the growth medium in a 1:10 ratio by volume. The culture well has a sample Fig. 6. Online tracking of cell adhesion process by six 40 2 40 m sensors. capacity of approximately 500 L. Fig. 7 shows the sensed capacitances as recorded concurrently by three of the on-chip sensors, one representative trace from each sensor group with different sensing electrode area. The encapsulated chip package functioned during an incubation period of 29 h, after which the encapsulation material failed due to water absorption. The fraction of Alamar blue in reduced form was evaluated by measuring the absorbance of the growth medium at 570 and 600 nm. This was accomplished by performing spectrophotometric analysis on 20 L samples extracted from the sensor well at instances during the monitoring period denoted by the vertical time lines in Fig. 7. The sensed capacitance values tracked the initial sedimentation and adhesion phases as in the previous experiment. After adhesion the sensed capacitances remained high until the ninth hour of incubation, which is indicative of viability. Alamar blue was gradually reduced to its pink form during this 9-h interval, confirming positive cell viability. According to spectrophotometric readings, the fraction of Alamar blue in reduced form was found to be 0%, 58.5%, and 73.8% at 0, 4, and 9 h, respectively, with reference to the initial cell loading time. Over the next 15 h, however, the sensed capacitances began to fall gradually, which is indicative of compromised viability. This decrease is attributed to oxygen deprivation resulting from the presence of a gas impermeable glass cover slip over the sensor well. The cover slip served to maintain sterility of the sample well during the extended observation period. In order to confirm the observed reduction in cell viability, the sensor well was replenished at the beginning of the second day with a fresh solution of growth medium and Alamar blue. As seen in Fig. 7, over the next 1 h interval the capacitances increased and stabilized, possibly due to the fresh oxygen and nutrient supply. However, over the next few hours the capacitances decreased again, which is indicative of compromised viability. This result is confirmed by the concurrent Alamar blue measurements: minimal color change was observed, in contrast to measurements of the previous day. Alamar blue % reduction values were found to be 0%, 0.95%, and 7.15% at 0, 4, and 8 h, respectively, with reference to the growth medium replenishment time on the second day. The transient drops in the sensed capacitance values at the microsample extraction times can be attributed to hydrodynamic 446 IEEE SENSORS JOURNAL, VOL. 7, NO. 3, MARCH 2007 Fig. 7. Online monitoring of cell viability with concurrent measurements using Alamar blue dye. Alamar blue percent reduction values obtained from spectrophotometric analysis are shown above the times corresponding to extraction of the microsample. TABLE I STANDARD DEVIATIONS OF CAPACITANCE FLUCTUATIONS disturbances created by introducing the micropipette tip inside the culture well. Hydrodynamic effects have the potential to disturb the ionic equilibrium responsible for the biophysical origin of the cell-substrate capacitance. In this experiment, good correlation was observed between on-chip measurements of the capacitance between cells and substrate, and the Alamar blue reduction measurements of cellular metabolism. An analogous correlation between the sensed capacitance variations and the retention of neutral red dye was previously reported in [18]. VI. CONCLUSION A CMOS capacitance sensor chip has been designed to measure the capacitance between cells and substrate, an indicator of cell adhesion and viability. Biophysical factors contributing to the sensed capacitance variations were identified and discussed. Three groups of sensors with electrodes of different sizes were bench tested for calibration of the relationship between capacitance and measured voltage. In vitro test results with BAOSMC show that the sensors are able to detect variations of the cell-substrate capacitance in the fF range, with different sensing ranges for the three sensor groups. Online monitoring results show that the sensors are effective in tracking different phases of the interaction between cells and substrate. Good correlation was observed between on-chip measurements of cell-substrate capacitance and concurrent Alamar blue dye reduction measurements. The integrated sensing of capacitance between cells and substrate offers an important monitoring capability for the development of cell-based lab-on-a-chip technologies. This sensor can serve as a useful tool for a variety of cell monitoring applications including biocompatibility characterization, drug screening, and medical diagnosis. C. Capacitance Fluctuations In both experiments, the sensed capacitances exhibit nonperiodic fluctuations before and after the adhesion phase (see Figs. 6 and 7). These fluctuations were evaluated under different conditions for the three sensor groups; Table I summarizes the standard deviations ( , , and ). The fluctuations in response to cells after adhesion are 1–2 orders of magnitude higher than when the sensors were exposed to just growth medium or air. Such fluctuations are consistently observed in the presence of cells. 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Moseley, and E. Smela, “Benchtop polymer MEMS,” J. Microelectromech. Syst., vol. 15, no. 5, pp. 1108–1120, Oct. 2006. [39] R. J. Gonzalez and J. B. Tarloff, “Evaluation of hepatic subcellular fractions for Alamar blue and MTT reductase activity,” Toxicol. In Vitro, vol. 15, pp. 257–259, 2001. [40] M. K. McMillian, L. Li, J. B. Parker, L. Patel, Z. Zhong, J. W. Gunnett, W. J. Powers, and M. D. Johnson, “An improved resazurin-based cytotoxicity assay for hepatic cells,” Cell Biol. Toxicol., vol. 18, pp. 157–173, 2002. SiO 0 Si Somashekar Bangalore Prakash (S’06) received the B.E. (with honors) degree in electrical and electronics engineering from the Birla Institute of Technology and Science, Pilani, India, in 2002, and the M.S. degree in electrical engineering from the University of Maryland, College Park, in 2004, where he is currently pursuing the Ph.D. degree in electrical engineering. He is currently a Graduate Research Assistant in the Integrated Biomorphic Information Systems Laboratory, Institute for Systems Research, University of Maryland. His research interests include mixed-signal integrated circuit design, CMOS biosensors, and CMOS/MEMS integration targeted towards lab-on-achip technologies. Pamela Abshire (S’98–M’02) received the B.S. degree in physics (with honors) from the California Institute of Technology, Pasadena, in 1992, and the M.S. and Ph.D. degrees in electrical and computer engineering from The Johns Hopkins University, Baltimore, MD, in 1997 and 2002, respectively. Between 1992 and 1995, she worked as a Research Engineer in the Bradycardia Research Department of Medtronic, Inc., Minneapolis, MN. She is currently an Assistant Professor in the Department of Electrical and Computer Engineering and the Institute for Systems Research, University of Maryland, College Park. Her research interests include low-power mixed-signal integrated circuit design, adaptive integrated circuits, integrated circuits for biosensing, and understanding the tradeoffs between performance and energy in natural and engineered systems.